| NPI | 1922779677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX 1036743) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1036743) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2023-09-20 |